MEDICARE: OS MEDICAL TRANSPORTATION SERVICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1912834359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OS MEDICAL TRANSPORTATION SERVICE LLC

Provider Business Mailing Address
First Line	:	5300 E MAIN ST STE 203
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-2580
Country	:	US
Telephone Number	:	614-805-9474
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 E MAIN ST STE 203
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-2580
Country	:	US
Telephone Number	:	614-805-9474
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZE OFFICIAL
Name	:	MR. RANDY ONEAL SIMMONS
Credential	:
Telephone Number	:	614-805-9474

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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